Organization Active NPI

Enduring Soul LLC

  • Adult Mental Health Clinic/Center
  • Georgetown, TX
National Provider Identifier
1396632295
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ENDURING SOUL LLC
Practice address
2009 Fountainwood Dr
Georgetown, TX 78633-1907
Phone
(512) 630-2022
NPI assigned
Jun 23, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darian Aviles, LCSWNPI 1750065595
Title
President
Phone
(523) 630-2022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

2009 Fountainwood Dr
Georgetown, TX 78633-1907

Mailing address

2009 Fountainwood Dr
Georgetown, TX 78633-1907
Phone (512) 630-2022

National Provider Directory

National Provider Directory

Locations

2608 N Main St
Ste B112
Belton, TX 76513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1396632295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 FOUNTAINWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331907",
            "telephone_number": "512-630-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 FOUNTAINWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331907",
            "telephone_number": "512-630-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURING SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "DARIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "523-630-2022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.